Organization Active NPI

James Berlin DO PA

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1770634099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JAMES BERLIN DO PA
Practice address
420 Christiana Medical Ctr
Newark, DE 19702-1654
Phone
(302) 283-0991
Fax
(302) 283-0995
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Berlin, DO
Title
Owner
Phone
(302) 283-0991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

420 Christiana Medical Ctr
Newark, DE 19702-1654

Mailing address

PO Box 3012
Wilmington, DE 19804-0012
Phone (302) 224-5678

Other identifiers 1

IdentifierTypeStateIssuer
0000978804MedicaidDE

National Provider Directory

National Provider Directory

Locations

420 Christiana Medical Ctr
Newark, DE 19702
Phone (302) 283-0991

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770634099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3012",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198040012",
            "telephone_number": "302-224-5678",
            "fax_number": "302-224-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CHRISTIANA MEDICAL CTR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021654",
            "telephone_number": "302-283-0991",
            "fax_number": "302-283-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES BERLIN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-283-0991",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000978804",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.